| Lakeside Clinic P.c. | |
|
77 Deer Creek Rd Somers MT 59932-8000 | |
| (406) 857-2997 | |
| (406) 857-2044 |
| Full Name | Lakeside Clinic P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 77 Deer Creek Rd, Somers, Montana |
| Authorized Official Name and Position | Jill B Ripley (OWNER) |
| Authorized Official Contact | 4068572997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Clinic P.c. Po Box 649 Lakeside MT 59922-0649 Ph: (406) 857-2997 | Lakeside Clinic P.c. 77 Deer Creek Rd Somers MT 59932-8000 Ph: (406) 857-2997 |
| NPI Number | 1053665091 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 05/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053665091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |